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I don't think Americans are going to know what they'll miss until it's gone.
I'm assuming you're American. If so, have you ever lived outside the USA? I've lived in multiple countries on a few continents, including some time in the US, so I know what it's like to be in the "hub of the world" vs somewhere else.
Yeah, the US has social problems, there's too much materialism, produce is widely available, but often shipped from very far away, public transit sucks, and so-on. I get you. But, the US is also the place where things happen first. For example, most new gadgets are available first in the US. Most new Internet services are available in the US first. Other parts of the world might have to wait years for things to show up, sometimes they never do. I remember how absolutely shocking it was when Spotify was available outside the US before it was available inside the US, because 99.9% of everything else shows up in the US first.
And yeah, the exercise machine that you never use was $99 at a Black Friday sale. But, the cheapest that machine will ever be in say Spain is the equivalent of $200 or so, because it's "made" in the US (or at least that's where the company that owns the IP is based) and it has to be imported into other countries and there are additional fees, etc.
This isn't just about gadgets though. The US healthcare system is awful, but many medicines are available in the US years before they show up other places. Part of this is that drug companies can make so much more money in the US. But, another important part is that often the best scientists and engineers migrate to the US and they're the ones inventing and patenting these things. If you're someone who needs a certain medicine, it can be frustrating to watch people in the US getting treated years before it's available to you.
Then there's media. Everyone knows how Hollywood is the main source of movies for the entire world, and most other media is similar. But, it's not just that. For example, Americans don't really care about football / futbol / soccer. But, the US market is so important that European clubs mostly travel to the US in the summer for events and tours. Every other continent would love to have these teams visit because almost every other country is nuts about football, but year after year it's a trip to the US because that's where the money is. It's gotten so bad that the Copa America, the South American football championship has twice been hosted in the US in the last decade, despite it being the championship for an entirely different continent.
And, yeah, Hollywood. It's where all the best performers go. Shitt's Creek was a massive hit in multiple countries, and it was a Canadian production using a Canadian cast. But, Eugene Levy was the honorary mayor of Pacific Palisades, he mostly lives in LA. Catherine O'Hara was named honorary mayor of Brentwood, Los Angeles where she mostly lives. It's the same with most of the cast (not that they're all honorary mayors of their adopted home towns, just that they live in the US). Virtually every major Canadian director (Cronenberg, Cameron, Villeneuve) is based out of LA. It's the same with most prominent actors and directors from most other countries. If they don't live full time in the US, they at least maintain a home in LA and live there part time.
Even American sports, despite only being played in the US, tend to pull in the best athletes from other countries. There are NBA players from Germany, NFL players from Cameroon, MLB players from Australia. These are countries where the sport doesn't even exist, and yet they're drawn to the big paydays in the US.
The best analogy I can make is that the US currently has a gravitational field that attracts things there. It's sometimes mild, but often it's strong (especially with singers and actors). Once things end up in that gravitational field, the main audience or main market becomes the US. Americans tend not to notice this because they're at the center of that gravitational field, and it just looks like everything happens to be near them. You have to live outside the US to watch things constantly flowing to the US, and to see how sometimes you have to fight against gravity to get them back.
Again, I think the effect you're describing is real, but it's also pretty gated in a lot of ways.
We have a lot of treatments first, but also widespread medical bankruptcy. A lot of people lack access to basic necessities.
I'm other words, I don't think someone running out of insulin gives as Schitt's Creek...